Individual provider Active NPI

Ebony Johnson, LAC, LSW CFPS

  • Addiction (Substance Use Disorder) Counselor
  • Aurora, CO
National Provider Identifier
1972217743
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002913 Issued in CO
Practice address
26227 E 3Rd Ave
Aurora, CO 80018-1768
Phone
(303) 915-7064
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002913 CO Primary
Peer Specialist 175T00000X CO
Clinical Social Worker 1041C0700X LSW.0009926220 CO
Clinical Social Worker 1041C0700X SWC.0000001982 CO

Addresses

Primary practice location

26227 E 3Rd Ave
Aurora, CO 80018-1768

Mailing address

26227 E 3Rd Ave
Aurora, CO 80018-1768
Phone (303) 915-7064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324004455 CO Practitioner - Clinical Social Worker 3072097351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8490 E Crescent Pkwy
Suite 200
Greenwood Village, CO 80111-2802
Phone (720) 316-6434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002913COMDAddiction (Substance Use Disorder) Counselor
LSW.0009926220COMDClinical Social Worker
SWC.0000001982COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Black Lotus Recovery Collective Addiction (Substance Use Disorder) CurrentSince Dec 8, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1972217743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26227 E 3RD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800181768",
            "telephone_number": "303-915-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26227 E 3RD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800181768",
            "telephone_number": "303-915-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EBONY",
        "credential": "LAC, LSW CFPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002913",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LSW.0009926220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000001982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.